How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $363.08 Median $3,548.13 Typical High $7,585.78 | Facility | None | $363.08 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $426.58 | Professional | None | $275.42 | $338.84 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $691.83 | Professional | None | $323.59 | $436.52 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $223.87 Typical High $602.56 | Facility | None | $165.96 | $223.87 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $501.19 Typical High $1,023.29 | Professional | None | $309.03 | $501.19 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $794.33 | Professional | None | $316.23 | $457.09 | $794.33 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None Typical Low $323.59 Median $537.03 Typical High $891.25 | Professional | None | $323.59 | $537.03 | $891.25 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $169.82 Typical High $194.98 | Professional | 52 · Reduced service | $138.04 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $67.61 Typical High $77.62 | Professional | 53 · Discontinued | $54.95 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $251.19 Typical High $288.40 | Professional | 54 · Surgery only | $208.93 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $50.12 Typical High $57.54 | Professional | 55 · Aftercare only | $41.69 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $33.88 Typical High $38.90 | Professional | 56 · Pre-op care only | $27.54 | $33.88 | $38.90 |
Where Georgia sits
The same service costs 2.9 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 27th of 51
$437
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.